Logo for US Tech Solutions

Prior Authorization Licensed Practical Nurse

US Tech Solutions

Role overview

Qualifications

  • Licensed Practical Nurse graduate from an approved school
  • Ability to work in a HIPAA compliant environment
  • Excellent verbal and written communication skills
  • Internet speed of at least 25mbps download/3mbps upload

Responsibilities

  • Answer inbound phone calls and process cases and authorizations
  • Maintain complete and accurate documentation and data entry
  • Provide on-call after hours nurse availability for urgent PA requests
  • Train and mentor representatives on the PA team

Key facts

Hard skills

Prior Authorization Health Insurance Portability And Accountability Act (HIPAA) Compliance Data Entry Internal Documentation

Other skills

  • Communication
  • Teamwork
  • Problem Solving

About the company

US Tech Solutions logo

US Tech Solutions

Staffing & Recruiting

USTECH SOLUTIONS is the largest privately owned diversity workforce partner with a global footprint. For 20+ years, we have partnered with leading MSPs and some of the world’s largest enterprises to deliver a flexible workforce. We serve Fortune 500 giants and growing businesses alike, reinventing the role of humans in a digital workforce. ‘Reinventing Human’ is about connecting you with top talent and seamlessly integrating new hires into your programs through our next gen AI powered Talent platforms. As the largest private diversity supplier in the US, we champion inclusion and unlock hidden potential. We work with leading MSPs and are a trusted strategic partner to the world’s top brands. At USTECH SOLUTIONS, we're inverting the talent hiring pyramid by offering a range of solutions from curated talent pools, workforce management services, and IT services resourcing to IC compliance. Our legacy and close affinity to the computing industry has equipped us with the expertise and vision to provision AI platform solutions that help organizations to innovate faster. Considering Statement of Work? Meet US Tech Digital (ustechdigital.com). We're helping businesses achieve digital leadership through our tailored SOW solutions, utilizing market-leading technology products and our proprietary in-house developed platform solutions. Explore our full range of services and solutions by visiting our website: ustechsolutions.com

Company details

Company typeLarge
IndustryStaffing & Recruiting
Company size1001 - 5000

Links

Website LinkedIn See all jobs

Your match analysis

See how your profile stacks up against this role.

We compared the job requirements to your profile to show where you're strong and where you fall short.

Job description

Job Summary:
This is a remote position and requires the ability to effectively support a work from home environment. Must have the ability to work in a HIPAA compliant work area away from distractions, and must have their own secure private internet services of at least 25mbps download/3mbps upload in order to ensure sufficient speed to adequately perform work duties. Must provide a screenshot of internet speeds with resume and provide license number.
 
Responsibilities:             
Responsibilities include answering inbound phone calls, processing cases and electronic authorizations, loading authorizations, and making follow-up phone calls utilizing appropriate courteous and professional behavior based upon established standards. Maintaining complete and accurate, documentation of all necessary information is necessary and will involve computer system data entry, data management, and reporting.
 
Experience:
  • ∙ Review criteria-based prior authorizations following policy and procedure.
  • ∙ Provide on-call after hours nurse availability for urgent PA requests.
  • ∙ Provide internal nurse support to the PA team and member services department .
  • ∙ Refer cases not meeting clinical criteria to the Pharmacist and MD team(s).
  • ∙ Shift priorities while exhibiting a high level of urgency with all calls and assignments.
  • ∙ Excellent verbal and written skills.
  • ∙ You will work with pharmacists, other clinical colleagues, healthcare professionals and members.
  • ∙ Follow all prior authorization procedures to guarantee an accurate process on each prior authorization.
  • ∙ Train and mentor representatives on the PA team.
  • ∙ Complete other PA assignments as delegated by the PA leadership team.
     
Education:         
               
The Licensed Practical Nurse is a graduate of a school of Practical or Vocational Nursing, approved by the State Agency and/or accredited by the National League for Nursing (Accrediting Commission (NLNAC)) at the time the program was completed by the applicant.
 
Skills:   
 
LPN, Prior auth
 
About US Tech Solutions:
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit www.ustechsolutions.com.
 
US Tech Solutions is an Equal Opportunity Employer.  All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Apply once. Then go straight to the hiring manager.

After you apply, unlock the direct contact details of the people who actually make the call. A quick follow-up makes you 5x more likely to land an interview.

MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
Unlocked after you apply
·

Nurse Related jobs

Rhode Island (USA)Nurse

Other jobs at US Tech Solutions

Premium

Reach out to the hiring manager directly.

Gain access to the contact details of the hiring managers who actually decide, and reach out to network with them directly. That, plus more when you upgrade:

  • Full match report with fit score and gaps
  • Career diagnostics on how recruiters read you
  • Curated company matches and warm intros
  • 48h early access to new roles

Cancel anytime.